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Factors influencing patient satisfaction with GI endoscopy
R F Yacavone1, G R Locke, C J Gostout
1Gastroenterology and Hepatology Outcomes Research Unit and Section of Biostatistics, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Gastrointestinal Endoscopy
|May 26, 2001
Summary
The modified Group Health Association of America-9 survey (mGHAA-9) for patient satisfaction with endoscopy is inadequate as it omits pain control. A universal patient satisfaction survey for endoscopy is feasible.
Area of Science:
- Gastroenterology
- Patient Experience
- Survey Methodology
Background:
- A modified Group Health Association of America-9 survey (mGHAA-9) was proposed for measuring patient satisfaction with endoscopy.
- The adequacy of the mGHAA-9 in capturing key patient satisfaction factors is unknown.
Purpose of the Study:
- To assess the content validity of the mGHAA-9 for patient satisfaction with endoscopy.
- To identify factors most important to patients regarding their endoscopy experience.
Main Methods:
- A 15-item survey, including 6 core mGHAA-9 items, was developed.
- Patients and physician endoscopists ranked factors important to satisfaction.
- Rank distributions were analyzed across patient demographics and experience levels.
Main Results:
- Endoscopist technical skill was the top-ranked factor (included in mGHAA-9).
- Pain control, not assessed by mGHAA-9, was the second most important factor.
- Endoscopists underestimated the importance of pre- and post-procedure communication compared to patients.
Conclusions:
- The mGHAA-9 lacks content validity due to its omission of pain control.
- A single, universally applicable instrument for measuring endoscopy satisfaction is feasible.